| NPI | 1356484307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC W. GUIRGUIS President 440-835-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: OH 18958) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-03-25 |